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14-545 (SFD)78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: SFD-14-546 Property Address: 51900 AVENIDA DIAZ APN: 773161007 Application Description: Property Zoning: Application Valuation: $0.00 Applicant: HIGH DESERT HOMES - HERITAGE C 30520 RANCHO CA ROAD . TEMECULA, CA 92591 LICENSED CONTRACTOR'S DECLARATION FEB 1.8 2015 CITY OF LA QUINTA COMMUNffY DEVELOPMENT DEPARTMENT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: _ License No.40-37 4 Date: 4 J8 • ZG*S OWNER -BUILDER" DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 33 of the Business and Professions Code) or that he or she is exempt therefrom and the/� basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's N Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/18/2015 Owner: HIGH DESERT HOMES - HERITAGE C 30520 RANCHO CA ROAD . TEMECULA, CA 92591 Contractor: CALIFORNIA CONSTRUCTION 30520 RANCHO CA ROAD TEMECULA, CA 92591 (951)805-1036 Llc. No.: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in'any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Z��g ZOIf Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize rep resentati of this city to enter upon the above- mentioned property for inspection purposes. .Date: 2�40�'T.6ily Signature (A is r Agent) FINANCIAL DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BLDG PC 25001-200K 10160003428200 $900.00 $900.00 5/1/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BLDG PC 25001-200K: $900.00 $900.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $6.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $6.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT - QTY AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $0.00 PAID BY' METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF -TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY ^ Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $24.66 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $10.16 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT' QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PCS 101-0000-42600 0 $47.86 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL- NEW CONSTRUCTION: $227.71 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL FINISH GRADING PC 101-0000-42600 0 $143.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forGRADING: $143.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT„ QTY AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 .' $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $36.27 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $14.49 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMECHANICAL: $188.54 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI-SPECIES RESIDENTIAL 8.1-14 UNITS 101-0000-20310 0 $537.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMULTI-SPECIES RESIDENTIAL• $537.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $528.19 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forNEW CONSTRUCTION PERMIT: $528.19 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT . PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $157.31 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for NEW CONSTRUCTION PLAN CHECK: $157.31 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD tBY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $145.08 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT • QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $145.08 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY 'AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $411.04 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $17.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI $17.50 $0.00 DESCRIPTION ACCOUNT, _ CITY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:$900.00 Description: Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED Applied: 5/1/2014 FAMILY DETACHED Approved: Parcel No: 773161007 Site Address: 51900 AVENIDA DIAZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 33 Lot: 17 Issued: UNIT 2 APPROVED APPLICATION EXTENSION TO GARRET HODSON. Lot Sq Ft: Building Sq Ft: Zoning: Finaled: Valuation: $134,632.00 Occupancy Type: Construction Type: Expired: 2/18/2015 BHA No. Buildings: No. Stories: No. Unites: Details: NEW SFD. THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALL, FIREPIT, BBQ WATER FEATURES. THIS HOME IS FIRE SPRINKLED PER 2013 CRC CODES. EXTENSION GRANTED UNTIL 2/18/2015 TO PURCHASE PERMIT. IF PERMIT IS NOT PURCHASE, PLAN CHECK FEES AND 2013 ENERGY PLANS ARE REQUIRED FOR ANY EXTENSION BEYOND 2/18/2015. ADDITIONAL SITES CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES APPROVED APPLICATION EXTENSION TO GARRET HODSON. E-MAIL BURT HANADA 2/5/2015 2/6/2015 DEADLINE IS 2/13/2015 TO PURCHASE PERMIT. PLANS HAVE EXPIRED APPLICANT NEEDS TO SUBMIT EXTENSION LETTER AND UPDATE TITLE 24's PER JJ. ALSO IF NOTE PHILIP JUAREZ 1/29/2015 1/29/2015 GOING OWNER BUILDER NEEDS TO SUBMIT OWNER BUILDER FORM AND SUBLIST. PLAN CHECK PICKED UP STEPHANIE KHATAMI 9/18/2014 9/18/2014 2ND PLAN CHECK PICKED UP. GARRET HODSON. LEFT MESSAGE FOR HIGH DESERT HOMES THAT PLANS ARE TELEPHONE CALL ARMEN ALTOUNIAN 11/6/2014 11/6/2014 APPROVED AND READY FOR PICK UP. CONDITIONS Printed: Wednesday, February 18, 2015 12:01:05 PM 1 of 5 CRWsrsrEMs NAME TYPE CLTD DESCRIPTION ACCOUNT . CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BLDG PC 25001-200K 10160003428200 $900.00 $900.00 NAME ADDRESSI CONTACTS CITY STATE 'ZIP- PHONE FAX EMAIL APPLICANT HIGH DESERT HOMES - HERITAGE C 30520 RANCHO CA ROAD TEMECULA CA 92591 ( FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT . CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BLDG PC 25001-200K 10160003428200 $900.00 $900.00 / 5/1/14 Total Paid for BLDG PC 25001-20OK: $900.00 $900.00 BSAS SB1473 FEE 1 101-0000-20306 1 0 $6.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $6.00 $0.00 BSA: DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 DIF - COMMUNITY 254-0000-43200 0 $129.00 $0.00 CENTERS DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 DIF - PARK 256-0000-43200 0 $40.00 $0.00 MAINTENANCE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 DIF - STREET 255-0000-43200 0 $116.00 $0.00 MAINTENANCE DIF -TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 Printed: Wednesday, February 18, 2015 12:01:05 PM 2 of 5 CRWrsrEMS DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTO BY RESIDENTIAL, EA 101-0000-42403 0 $24.66 $0.00 ADDITION 1,000SF RESIDENTIAL, EA 101-0000-42600 0 $10.16 $0.00 ADDITION 1,000SF, PC RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 1,000SF RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $0.00 1,000SF, PC Total Paid forELECTRICAL - NEW CONSTRUCTION: $227.71 $0.00 RESIDENTIAL FINISH 101-0000-426000 1 $143.00 $0.00 F GRADING PC Total Paid forGRADING: $143.00 $0.00 CONDENSER/COMPRES SOR 101-0000-42402 0 $36.26 $0.00 CONDENSER/COMPRES SOR PC 101-0000-42600 0 $24.17 $0.00 EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 EXHAUST HOOD PC 101-0000-42600 0 $4.83 $0.00 FURNACE 101-0000-42402 0 $36.26 $0.00 FURNACE PC 101-0000-42600 0 $24.17 $0.00 VENT FAN 101-0000-42402 0 $36.27 $0.00 VENT FAN PC 101-0000-42600 0 $14.49 $0.00 Total Paid for MECHANICAL: $188.54 $0.00 MULTI -SPECIES RESIDENTIAL 8.1-14 101-0000-20310 0 $537.00 $0.00 UNITS Total Paid for MULTI -SPECIES RESIDENTIAL- $537.00 $0.00 Printed: Wednesday, February 18, 2015 12:01:05 PM 3 of 5 CRWYSTEMs Printed: Wednesday, February 18, 2015 12:01:05 PM 4 of 5 CRWrsrfMs CLTO DESCRIPTION ACCOUNT QTY .AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY NEW CONSTRUCTION 101-0000-42400 0 $528.19 $0.00 PERMIT Total Paid forNEW CONSTRUCTION PERMIT: $528.19 $0.00 NEW CONSTRUCTION 101-0000-426000 $157.31 $0.00 PLAN CHECK Total Paid forNEW CONSTRUCTION PLAN CHECK: $157.31 $0.00 BACKFLOW DEVICE 101-0000-42401 0 $12.09 $0.00 BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $0.00 BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 FIXTURE/TRAP 101-0000-42401 0 $145.08 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $145.08 $0.00 GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $0.00 OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $0.00 OUTLETS PC WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 WATER HEATER/VENT 101-0000-42600 0 $7.25 $0.00 PC WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $12.09 $0.00 INST/ALT/REP PC Total Paid for PLUMBING FEES: $411.04 $0.00 SMI -RESIDENTIAL 101-0000-20308 0 $17.50 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SM! $17.50 $0.00 Printed: Wednesday, February 18, 2015 12:01:05 PM 4 of 5 CRWrsrfMs DESCRIPTION ACCOUNT QTY AMOUNT • - PAID PAID DATE RECEIPT # CHECK # METHOD PAID By CLTD By SINGLE FAMILY 224-0000-20320 0 $1,837.44 $0.00 DETACHED Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 INSPECTIONS Printed: Wednesday, February 18, 2015 12:01:05 PM 5 of 5 CN?WSYSTEMS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES NON-STRUCTURAL BURT HANADA 5/1/2014 6/2/2014 6/2/2014 REVISIONS REQUIRED SFD-14-545, 546 - SFD-14-545, 546 - NON-STRUCTURAL TOM HARTUNG 9/16/2014 9/16/2014 9/16/2014 REVISIONS REQUIRED APPLICATION Structural and T-24 approved. N/S return for corrections NON-STRUCTURAL TOM HARTUNG 11/3/2014 11/17/2014 11/6/2014 APPROVED Printed: Wednesday, February 18, 2015 12:01:05 PM 5 of 5 CN?WSYSTEMS ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION - PATHNAME SUBDIR ETRAKIT ENABLED'. SFD-14-545, 546 - SFD-14-545, 546 - DOC 2/6/2015 BURT HANADA APPLICATION APPLICATION 1 EXTENSION.pdf EXTENSION.pdf GRANT DEED 773-161- GRANT DEED 773 -161 - DOC 2/17/2015 STEPHANIE KHATAMI 007 51900 AVENIDA 007 51900 AVENIDA 0 DIAZ.pdf DIAZ.pdf DOC 2/17/2015 STEPHANIE KHATAMI SCHOOL FEES PAID - SCHOOL FEES PAID - 14- 0 N 545.pdf Printed: Wednesday, February 18, 2015 12:01:05 PM 5 of 5 CN?WSYSTEMS -5;4(oa Building �fi Address 15noo vE,41DA Owner A16ii L'ye-w¢ T • C&hf 4 4 a" P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO d�H LA QUINTA, CALIFORNIA 92253 Mailing Address .3qy"�o 9A&16W0 fes-, 90, 4*7l44 City Zip Tel. " 1r,MV,Aa CiZSRi I 961.8®T-/A3� m1w Address & Classif. I Lic. # Designer Address Tel. ` •7'8'1 P60V& l • ? 3g l7 City Zip State C3?>nJ�A ZPe?® Lic. # C'—fJ�'�-�7� LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contrac-, for's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (8500). OI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). jI, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date I' ' i Own WORKER' COMPENSATION DECLARATION I hereby affirm that I have a ertificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑Copy is filed with the city. ❑Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (8100) valuation or less). 1 certify that in the performance cAthe work for which this permit is issued, I shall not employ any person _in�any �manner so as tq ome subject wk ensa ion Laws of California. DateOwner NOTICE TO APPLICANT., If, ifter making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT 'BUILDING: TYPE CONST. OCC. GRP. A.P. Number -133k , 161 " pal " 4 Legal Description Project Description N15o SwC4 G-- Ry"II4 M16aiCA264 Sq. Ft. No. No. Dw. Size Stories Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ 2/0 -41 Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 1 f �f ft : -21 r A TOTAL J CONTACT INFORMATION _ NAME: PHONE: ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line _ Side Street Setback from Center Line Side Setback from Property Line — FINAL DATE INSPECTOR Issued by: Validated by: Validation: Date YELLOW = APPLICANT PINK = FINANCE Comments Certs #31707 & 31708 used for chk totaling $14,132.16 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.36 X 2,103 S.F. or $7,066.08 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/Amiercan West Bank - Brad Peterson Check No. 232453 Bank Name/Recipient of Certificate BY Dr. Gary Rutherford Superintendent Fee collected Signature Telephone Funding Residential Payment Recd 30.00 $7,066.08 Over/Under NOTICE: Pursuant o Government Code Section 66020(d)(1), this ill rve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on ch the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID without embossed seal ��'��® Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Acc FEB 13 2015 CITY OF LA QUINTA COMMUNITY DEVELOPMENT RECORDING REQUESTED BY LQ Estate Company,_LLC AND WHEN RECORDED MAIL DOCUMENT AND TAX STATEMENT TO: NAME LQ Estate Company, LLC STREET 160 W. Foothill, Suite 105-44 ADDRESS CITY, STATE & Corona, CA 92882 ZIP CODE TITLE ORDER NO. ESCROW NO. DOC # 2015-0058502 02/11/2015 02:47P Fee:21.00 Page 1 of 3 Recorded in official Records County of Riverside Peter Aldana Assessor, County Clerk & Recorder {IIII{IIII{Iillllllllllllilllllllllllllllllllillll{ � IIII �a8 S R U PAGE SIZE DA MISC LONG RFD COPY M A L 465 426 P NCOR T: SMF CTY NCHG UNI r/ /� DEED ABOVE THIS LINE FOR RECORDER'S USE ONLY GRANT DEED The undersigned grantor(s) declare(s) TRA. 020-017 DOCUMENTARY TRANSFER TAX $ IT computed on full value of property conveyed, or APN: 773-161-00 -4 IJ computed on full valueless liens and encumbrances remaining at time of sale. ❑ Unincorporated Area City of La Quinta FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, I (We) High Desert Homes, a General Partnership and Heritage Capital Group, a California Comoration�-as ioint tenants. (NAME OF GRANTOR(S)) hereby remise, release and grant to LQ Estate Company, LLC (NAME OF GRANTEE(S)) the following described real property in the City of La Quinta County of Riverside State of California (Insert Legal Description) SEE EXHIBIT "A" ATTACHED HERETO AND MADE PART HEREOF DATED: STATE OF CALIFORNIA COUNTY OF Cx�-�ti7�y¢ l%QP�r� C'2n�f� On before me, personally appeared (here insert name and title of the officer) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)'is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature MAIL TAX STATEMENT AS DIRECTED ABOVE -SLt IC (SEAL) EXHIBIT "A" Lot 17, Block 33 of Santa Cannelita Unit No. 2, in the city of La Quinta, County of Riverside, State of California, as per Map thereof Recorded in the office of the Recorder of Riverside County at Book 18 page 55=56 of Maps. Aka: 0 Avenida Diaz; La Quinta, CA 92253 For APN/Parcel ID(s): 773-161-007-4 13 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of Cali rnia County of WN&1�16 s�, On Z6I before me,U�j'jJ� I . t, 6 r(�1 �1 ((r , ( (here insertname and title of th officer) personally .appeared b iA 01 -Tal A� --M� OjjI Gn who roved to me on the basis of satisfactory evidence to be the person(s) whose name i are subscribed to the within trument and acknowledged to me that he/she/t e ted the same in his/her her -authorized capacity(ies);, and that by his/her hel signature(s)--on--the--instrument---t'e 'person(s),—or the--entity--upon- behalf -of which e person(s) acted, executed the instrument. a ed of b9i tai `9d fau+y�/.i�eeirfT "Y903 9OV 031liTt 33" I certify under PENALTY OF PERJURY u e�St ,,rjpv s"p e�S � e�fof�i �i oar ai at the foregoing paragraph is true a dT—ft eniteizrfoa bear s n9 crf six EIdj rl�lrIR! �A Jr�J Ibns eu .if o' + � MAS EMO MY WITNESS my hand an < Ir 'al 9 � brrs Wit00K4M*#VJ'fs` 74 W rPdblic)a ati ornia ni RIVER= OU TY Jb- comnL&P.N-X21 2016 Signature �nf7 titnu� �is�e:�aa4 VU etrla .e9iialsv.A to Vni"a :bates li tTI '?i —bol'm ed J?urri noifsoi it*3 "Yq(-)'i 031-11TP1.0" RECORDING REQUESTED BY: EQUITY TITLE - ORANGE COUNTYANLAND EMPIRE AND WHEN RECORDED MAIL TO: High Desert Homes et at, 30520Rancho California Rd. #107-146 Temecula, CA 92591 Order No.: OR1450386 Escrow No.: PS -05560 -SB A.P.N.: 773-161-007-41 TRA: 020-017 DOC # 2014-0096240 03/14/2014 01:54 PM Fees: $18.00, Page 1 of 2 Doc T Tax Paid Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder "This document was electronically submitted to the County of Riverside for recording— Receipted by: TVERBA SPACE ABOVE THIS LINE IS FOR GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $73.70 CITY TRANSFER TAX IS $.00 [ X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale. [ ] unincorporated area [ X ] City. of La Quinta AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Robert Trevor Freeman, an unmarried man hereby GRANT(S) to Higf'Desert Homes_ , a General Partnership and Heritage Capital Group, a California Corporation as joint tenants the following described real property in the County of Riverside, State of California: See Exhibit "A" attached hereto and made a part hereof for complete legal description. AKA: 0 Avenida Diaz, La!Quinta, CA 92253 Dated: March 7, 2014 STATE OF CALIFORNIA COUNTY OF S OtJO MA ; On ht o-�'� [ (- i Z� l' { before me LN Wi CH HAL( ' Notary Public, personal)y appeared PO $ ER T `t -W E VGfz F{? E E MJP1 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) isJ�Wsubscribed to the within instrument and acknowledged to me that he /they executed the sari a in his/t}efltiteif au orized capacity(ies) and that by hisJt}efli signature(s) on the instrument the person(s), or the eenfiN upon behalf of which the person(s), acted, executed the. instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my han and official se Signature ignature of Not ry Commission Expiration Date; +0nn3T Q17 HEINRICH HAU COMM. #2002871 m WNOTARY PUBLIC . CAUFORNIA A —� SONOMACOUNTY -+ MY Comm. deo Jan. 3, 2017 (This area for official notarial seal) MAIL TAX STATEMENTS. TO: High Desert Homes et a1., 30520 Rancho California Rd. #107-146, Temecula, CA 92591